NPIMap

Organization Active NPI

Jabours Personal Health Care

  • Health Maintenance Organization
  • La Place, LA
National Provider Identifier
1235306754
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
PCA11435 Issued in LA
Legal business name
JABOURS PERSONAL HEALTH CARE
Practice address
1005 W Airline Hwy
La Place, LA 70068-3714
Phone
(985) 651-0817
Fax
(985) 651-0212
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Clarice Althea Jabour
Title
Owner
Phone
(985) 651-0817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PCA11435 LA Primary

Addresses

Primary practice location

1005 W Airline Hwy
La Place, LA 70068-3714

Mailing address

1005 W Airline Hwy
La Place, LA 70068-3714
Phone (985) 651-0817

Other identifiers 1

IdentifierTypeStateIssuer
1706744MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Jabours Personal Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1235306754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W AIRLINE HWY",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683714",
            "telephone_number": "985-651-0817",
            "fax_number": "985-651-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W AIRLINE HWY",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683714",
            "telephone_number": "985-651-0817",
            "fax_number": "985-651-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABOURS PERSONAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "JABOUR",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_middle_name": "ALTHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-651-0817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "PCA11435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706744",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.